MR. JOHN ANDERSON LD NPI 1366560302

NPI Information

  • NPI: 1366560302
  • Provider Name: MR. JOHN ANDERSON, LD
  • Classification: Denturist - 122400000X
  • Entity Type: Individual
  • Address: 4408 PACIFIC AVE SE
    LACEY, WA
    ZIP 98503
  • Phone: (360) 438-8299

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NPI Details

MR. John Anderson, LD is a denturist in Lacey, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. MR. John Anderson, LD NPI is 1366560302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4408 PACIFIC AVE SE
LACEY, WA
ZIP 98503-119
Phone: (360) 438-8299
Fax: (360) 438-1399

The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122400000XDenturist260WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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